Organization
LAVENDER MOON ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER POOLE SMITH (OWNER/DIRECTOR)
(321) 292-1844
Entity
Organization
Contact information
Practice address
1019 HARVIN WAY STE 110, ROCKLEDGE, FL 32955-3286
(321) 292-1844
Mailing address
1019 HARVIN WAY STE 110, ROCKLEDGE, FL 32955-3286
(321) 292-1844
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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